Connect with a USO Pathfinder Scout
Authorization for Release of Information
By clicking “Submit”:
(1) I certify that the information that I have
provided in this Application for Supportive Services is true, accurate, and
complete, to the best of my knowledge. I understand that
misrepresentation, falsification, or omission of information could disqualify
me from receiving Supportive Services, and that I may be asked to provide
documentation verifying the statements that I have made.
(2) I authorize USO to receive, maintain, and release
the foregoing information — and any additional information that I choose to
provide to USO— to other organizations and individuals who are involved in
assisting in the delivery of the requested Supportive Services. I
understand and accept the risk that any disclosure of information carries with
it the potential for unauthorized re-disclosure. This Authorization for Release of Information
shall remain in effect unless I revoke such authorization in writing, which I
may do at any time, except to the extent that such information has
already been disclosed.
Need assistance with this form?
Be the first to learn about news, service member stories and fundraising updates from USO.
The USO relies on your support to help service members and their families.
Service member or family?
Download our app to find events, locations and programs near you.
The USO is a not-for-profit organization and not part of the Department of Defense (DoD). The appearance of DoD visual information does not imply or constitute DoD endorsement.